Primary/Community Health Hub at each hospital 24/7

Primary/community health hub at each hospital open 24/7 staffed with primary/community care staff

- people presenting at ED can be redirected to the health hub

- people can turn up anytime, no appt needed, opportunity to sort many issues in one appt

- GPs, nurses and community staff at the hub can work with specialist colleagues as required (ED also 24/7)

- Everyone knows where the hospital is, so will know where the health hub is

- children could be vaccinated there

- ideally community oral health on site

- community nursing available 

- one stop shop, no need to enrol, national patient record plus patient portal for health info

Why the contribution is important

Potential to reach the people who find the current system does not work for them

Many people are presenting at ED. Let people choose this option (primary care option at ED) if that is their preference

Make drop-in primary care accessible and acceptible

Keeping people well - immunisations, children's oral health, community nursing

Many GPs are not taking new clients - this could make a viable alternative

A number of people would stilll keep their GP in the community



by Leonie on March 10, 2023 at 01:26PM

Current Rating

Average rating: 4.5
Based on: 7 votes


  • Posted by AngryofEketahuna March 19, 2023 at 15:15

    I think has merit . What about funding? Some folk use ED because they can't afford to pay; can this proposed model ease that?
  • Posted by Leonie March 20, 2023 at 12:27

    I envisage the GP/Primary care hub at the hospital would be free, but people may have to wait to be seen (just like ED). The primary care staff would be employed by Te Whatu Ora.

    People should be able to access healthcare in the way that suits them best. If people don't want to enroll with a general practice for any reason, they should still have access to primary care. This is a way of reaching people who often need care the most, but access it the least.
  • Posted by hballantyne March 22, 2023 at 18:47

    I certainly agree that Drs are not taking patients. In our area, Papamoa, if you want to see your own doctor, you make an appointment 3 or 4 weeks ahead. and then cancel it if you don't need it. My GP skin appointment I just made is for September.

    The above idea has much merit. I have already discussed the need for more 24/7 care, but closer to home. the hospital is too far for many. Local Drs need to be funded for 24/7 care, or a health centre etc.
  • Posted by Bware March 25, 2023 at 08:23

    Yes to the hubs but they don’t need to be at the hospital, just working very closely with them.
    In some communities a hub can be located in a place that is much easier for people to reach.
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